Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK RICHARD BROUILLETTE
Active Sole ProprietorDR. MARK RICHARD BROUILLETTE is a Dentist healthcare provider located in YORK, Nebraska. NPI 1063622835 is currently active in the NPPES registry. Verify at CMS.
Dentist · YORK, NE
Registration Details
- NPI Number
- 1063622835
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2007 (19.052974179603 yrs)
- Last Updated
- Nov 4, 2025
- Licenses
-
DO-8915 (AZ)5539 (NE)
- Sole Proprietor
- Yes
Practice Information
- Address
-
622 N BURLINGTON AVEYORK, NE, 684673030Browse NE providers · Browse ZIP 68467
- Phone
- 4023623222
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- General Dentistry
Other Dentist Providers in YORK, NE
| Name | Credential | NPI |
|---|---|---|
| DR. SHELDON LEE CARLOW | DDS | 1609005677 |
| DAVID S. WIETING | D.D.S. | 1689932055 |
| MILES BERG | D.D.S. | 1952666984 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.